Gluzman R, Meeker H, Agarwal P, Patel S, Gluck G, Espinoza L, Ornstein K, Soriano T, Katz R V
Department of Epidemiology & Health Promotion, NYU College of Dentistry, NY, USA.
Spec Care Dentist. 2013 Sep-Oct;33(5):218-26. doi: 10.1111/j.1754-4505.2012.00316.x. Epub 2012 Dec 5.
This study assessed the oral health status, dental utilization and dental needs of the homebound elderly (HBE) care patients within the Mount Sinai Visiting Doctor program.
Of the 334 eligible patients, 57% agreed to participate and 95.4% completed the clinical examinations, the Dental Utilization and Needs survey and Geriatric Oral Health Assessment Index conducted in each subject's home by a trained research team.
Among 75% who were dentate subjects, 40% needed restorative dental care, 45.6% needed dental extractions, and 33% complained of current oral pain. Overall, 92.0% needed some type of dental care and 96% stated that they had not seen a dentist since they became homebound (mean number of years in program = 3.2 ± 2.58).
Findings show the oral health status of these homebound elderly was poor and their quality of life was significantly affected by the lack of basic dental care.
本研究评估了西奈山访问医生项目中居家养老护理患者的口腔健康状况、牙科服务利用情况和牙科需求。
在334名符合条件的患者中，57%同意参与，95.4%完成了由训练有素的研究团队在每位受试者家中进行的临床检查、牙科服务利用和需求调查以及老年口腔健康评估指数。
在75%有牙齿的受试者中，40%需要牙齿修复治疗，45.6%需要拔牙，33%抱怨目前口腔疼痛。总体而言，92.0%需要某种类型的牙科护理，96%表示自居家以来未看过牙医（参与项目的平均年数 = 3.2 ± 2.58）。
研究结果表明，这些居家老年人的口腔健康状况较差，缺乏基本牙科护理对他们的生活质量有显著影响。
